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Expanding the Single-Visit Approach for Cervical Cancer Prevention: Successes and Lessons From Burkina Faso

Ouedraogo Y., Furlane G., Fruhauf T. et al. Global Health: Science and Practice (2018) CC

Background: Cervical cancer accounts for 23% of cancer incidence and 22% of cancer mortality among women in Burkina Faso. These proportions are more than 2 and 5 times higher than those of developed countries, respectively. Before 2010, cervical cancer prevention (CECAP) services in Burkina Faso wer...e limited to temporary screening campaigns. Program Description: Between September 2010 and August 2014, program implementers collaborated with the Ministry of Health and professional associations to implement a CECAP program focused on coupling visual inspection with acetic acid (VIA) for screening with same-day cryotherapy treatment for eligible women in 14 facilities. Women with larger lesions or lesions suspect for cancer were referred for loop electrosurgical excision procedure (LEEP). The program trained providers, raised awareness through demand generation activities, and strengthened monitoring capacity. Methods: Data on program activities, service provision, and programmatic lessons were analyzed. Three data collection tools, an individual client form, a client registry, and a monthly summary sheet, were used to track 3 key CECAP service indicators: number of women screened using VIA, proportion of women who screened VIA positive, and proportion of women screening VIA positive who received same-day cryotherapy. Results: Over 4 years, the program screened 13,999 women for cervical cancer using VIA; 8.9% screened positive; and 65.9% received cryotherapy in a single visit. The proportion receiving cryotherapy on the same day started at a high of 82% to 93% when services were provided free of charge, but dropped to 51% when a user fee of $10 was applied to cover the cost of supplies. After reducing the fee to $4 in November 2012, the proportion increased again to 78%. Implementation challenges included difficulties tracking referred patients, stock-outs of key supplies, difficulties with machine maintenance, and prohibitive user fees. Providers were trained to independently monitor services, identify gaps, and take corrective actions. Conclusions: Following dissemination of the results that demonstrated the acceptability and feasibility of the CECAP program, the Burkina Faso Ministry of Health included CECAP services in its minimum service delivery package in 2016. Essential components for such programs include provider training on VIA, cryotherapy, and LEEP; provider and patient demand generation; local equipment maintenance; consistent supply stocks; referral system for LEEP; non-prohibitive fees; and a monitoring data collection system. more

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Acting on the call

USAID (2018) C1

A Focus on the Journey to Self-Reliance for Preventing Child and Maternal Deaths . June 2018
The 2018 Acting on the Call report focuses on 25 countries’ journeys to self-reliance for preventing child and maternal deaths. Self-reliance is a country’s ability to finance and implement solution... more

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Determinants of Maternal Care-Seeking in Kenya

Samwel Mbugua, Kerry L. D. MacQuarrie (2018) C1

DHS Further Analysis Reports No. 111
This study is a theory-driven analysis of the socio-demographic determinants of maternal care seeking in Kenya. Specifically, it examines predisposing, enabling, and need factors potentially associated with use of antenatal care (ANC), health facility delive... more

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Sierra Leone National Nutrition Survey 2017

Government of Sierra Leone, Action Contre la Faim France, Irish Aid (2018) C1

(August 28 – October 10, 2017)
A nutrition and mortality assessment using SMART methodology was applied and the survey covered 15 statistical (14 districts plus 1) domains countrywide. The main objective of the survey was to assess the current nutrition status of the population, especially ch... more

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Side-By-Side: Campaign Toolkit for implementers

Phila, National Department of Health South Africa National Department of Health South-Africa (2018) CC

In 2018, the National Department of Health launched the Side-By-Side campaign for pregnant women and caregivers of children under five years, with the goal of ensuring that all children receive the nurturing care and protection they need to reach their full potential.

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Ankommen - Gehiştin - Welcome - خوش آمدید - ترحيب - Добро пожаловать! Information for female refugees in Bremen

Bremische Zentralstelle für die Verwirklichung der Gleichberechtigung der Frau (ZGF) (2018) C1

Nice multilingual information brochure for refugee women arriving in Germany/Bremen. Includes Information on: - Learn German - Education & Employment - Healthcare & Pregnancy - Protection against Violence - Asylum for Women - Conversation and Contacts in the City All chapters are translated i... more

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Infographic: Radiation Emergencies and pregnancy

Centers for Disease Control and Prevention (CDC) (2018) C_CDC

After a radiation emergency, pregnant women should follow instructions from emergency officials and seek medical attention as soon as emergency officials say it is safe to do so.

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HealthPhone Health in your Hands

Health Phone (2017) CC

These apps address issues of status of women, the care of pregnant women and children under two, breastfeeding and the importance of a balanced diet, health and simple changes in nutritional care practices that can notably enhance nutrition levels. Available in 18 languages: Assamese • Bengali •... more

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UNFPA Myanmar Annual Report 2016

United Nations Population Fund (UNFPA) (2017) C1

Census data shows that Myanmar can harness a double dividend – both youth and gender. This year’s annual report provides many facets of the journey to gender equality. It tells a story of widening horizons for women and girls who are capable in their own right. It is also a story of women fulfil... more

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Undernutrition in Myanmar. Part 1: A Critical Review of Literature

Cashin, Jennifer Leveraging Essential Nutrition Actions to Reduce Malnutrition (LEARN) (2016) C1

Despite improvements in recent years, the prevalence of undernutrition among women and children in Myanmar remains unacceptably high. One in three children are stunted and about 8% are acutely malnourished. Micronutrient deficiencies are common among infants, young children and pregnant women. In fa... more

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Togo: Statistical Profile on Female Genital Mutilation/Cutting

UN Children's Fund UNICEF (2016) C_UNICEF

Female genital mutilation/cutting (FGM/C) refers to “all procedures involving partial or total removal of the female external genitalia or other injury to the female genital organs for non-medical reasons.”FGM/C is a violation of girls’ and women’s human rights and is condemned by many in... more

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Senegal: Statistical Profile on Female Genital Mutilation/Cutting

UN Children's Fund UNICEF (2016) C_UNICEF

Female genital mutilation/cutting (FGM/C) refers to “all procedures involving partial or total removal of the female external genitalia or other injury to the female genital organs for non-medical reasons.”1 FGM/C is a violation of girls’ and women’s human rights and is condemned by many int... more

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More time or more money to improve nutrition in Benin Republic?

M. C. D. N. Vodouhe, L. Fakambi Institut National des Recherches Agricoles du Bénin (INRAB) (2015) C2

Children malnutrition eradication in developing countries is a real challenge, especially among vulnerable population. There are so many effort towards women (who are the main care providers) socio-economic situation in order to improve their children nutrition. This article aims to identify the ... more

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FGM in Burkina Faso: Key findings

28 Too Many (2015) C2

With an FGM prevalence of 75.8% among women aged 15-491, Burkina Faso is classified by UNICEF2 as a ‘moderately high prevalence’ country. FGM is practised across all regions, ethnic groups and religions in Burkina Faso. There are distinct regional variations; FGM prevalence ranges from 54.8%... more

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Care and Dignity in Conflict

UNFPA (2014)

LIFE-SAVING SERVICES FOR SOUTH SUDANESE WOMEN AND GIRLS

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Unintended Pregnancy and Induced Abortion In Burkina Faso: Causes and Consequences

Bankole A., Hussain R., Sedgh G. et. al. Guttmacher Institute (2014) C2

Induced abortion is permitted in Burkina Faso only to save the life and protect the health of a pregnant woman, or in cases of rape, incest, and severe fetal impairment. As a result, the vast majority of women who end unintended pregnancies do so in secrecy, out of fear of prosecution and to avoi... more

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Research and Evaluation Agenda for HIV and Maternal Health in sub-Saharan Africa

Kendall, Tamil; Danel, Isabella (2014) C1

Women and Health Initiative Working Paper No. 1. Women and Health Initiative
Improving maternal health in the context of the sub-Saharan African HIV epidemic requires greater understanding of the relationships between HIV disease and maternal morbidity and mortality, integrated and effective resp... more

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Kote Fanm Pa Jwenn Doktè

A. August Burns, Ronnie Lovich, Jane Maxwell, Katharine Shapiro (2014) C2

Kreyol translation of Where Women Have No Doctor You can download single chapters for free from the website

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NIGERIA STATE DATA PROFILES: An Accountability Tool for Maternal, Newborn and Child Health in Nigeria

Save the Children International (2014) C2

Nigeria is Africa’s most populous nation and accounts for nearly one quarter of the continent’s maternal, newborn and child deaths. In the spirit of the global Countdown to 2015 for Maternal, Newborn and Child Health and the Nigerian Saving One Million Lives Initiative, these state data profiles... more

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Every Newborn Action Plan: An Action Plan to End Preventable Deaths in Malawi

Government of Malawi (2013) C2

Every Newborn: an action plan to end preventable deaths is a roadmap for change. It takes forward the Global Strategy for Women’s and Children’s Health by focusing specific attention on newborn health and identifying actions for improving their survival, health and development.